Morris, Derek R
Morris, Derek R is an sole proprietor health care provider with primary practice located at 500 S Highway 19 , Palatka FL 32177-3943. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Morris, Derek R can be contacted via phone (386) 325-5467.Contact Information
Primary practice address
500 S Highway 19
Palatka FL 32177-3943
Phone: (386) 325-5467
Fax: (386) 325-2635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6655868-9921 | Utah |
| Dental Providers / Dentist | 122300000X | DN19475 | Florida |
Profile Details
| NPI number | 1487851416 |
|---|---|
| LBN Legal business name | Morris, Derek R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2007 |
| Last updated | Jul 31st, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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